Indiana
Professional Licensing Agency
Lisette M. Reyes
Radiology Provisional Permit
License number
XP504873
Date granted
07/31/2013
Date expires
01/31/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Crown Point IN 46307
indianalicensing.org
ID 8490019
LAST UPDATED 2024-02-14 08:35:19 UTC
LAST UPDATED 2024-02-14 08:35:19 UTC
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